In the elderly with chronic constipation, history and physical examination to exclude medication induced constipation and secondary causes are the first step.
May cause hepatic complications in doses over 3000mg/24hr in the elderly Drowsiness, dizziness, nausea, confusion, headache, constipation, urinary.
CONSTIPATION AND ANTICHOLINERGIC DRUG USE IN THE ELDERLY. Constipation is a common side effect of anticholinergic drugs. This study examined
Common causes of constipation in the elderly. In the elderly, constipation most likely has a multifactorial etiology, with more than one mechanism present in a single patient, such as co-morbid illnesses or medication side effects (Table 1). In the elderly, living in hospice with advanced cancer and pain, opioid-induced constipation is common.
Nondihydropyridine drugs, especially verapamil, slow the heart, similar to beta blockers and cause constipation, especially in elderly subjects. Adverse Effects
Commonly prescribed drugs which may cause constipation. Bowel obstruction 15mg-30mg at night (split to BD dose in frail elderly patients). 3rd line
Secondary constipation is associated with chronic disease processes, medication use, and psychosocial issues. Management of chronic constipation in the elderly. Drugs Aging. 2024;25(10):807
Anticholinergics can also cause constipation and urinary retention.2,18. The chart above lists medicines that should be avoided in elderly patients based on
peripheral edema, and constipation in an elderly patient after pregabalin. Pregabalin can cause constipation by binding to the calcium channel
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